Chapter 15 ME Techniques

Question 1

Tx position for pump handle inhalation dysfunction?

Answer 1

Flex pts forward while supine

Question 2

Tx position for bucket handle inhalation dysfunction?

Answer 2

SB towards while supine

Question 3

Initial tx position for exhalation dysfunctions?

Answer 3

Pt places forearm on affected side across forehead with palm up

Question 4

Where does pt monitor exhalation dysfunctions during tx?

Answer 4

Posteriorly at rib angle

Question 5

Isometric contraction for rib 1?

Answer 5

Pt raises head directly toward ceiling

Question 6

Isometric contraction for rib2?

Answer 6

Pt turns head 30 degrees away from dysfunctional side and lift head toward ceiling

Question 7

Isometric contraction for ribs 3-5?

Answer 7

Pt pushes elbow of affected side toward opposite ASIS

Question 8

Isometric contraction for ribs 6-9?

Answer 8

Pt pushes arm anterior

Question 9

Isometric contraction for ribs 10-12?

Answer 9

Pt adducts arm

Question 10

Rib 1 muscles being tx?

Answer 10

Anterior and middle scalenes

Question 11

Rib 2 muscle being tx?

Answer 11

Posterior scalene

Question 12

Ribs 3-5 muscle being tx?

Answer 12

Pectoralis minor

Question 13

Ribs 6-9 muscle being tx?

Answer 13

Serratus anterior

Question 14

Ribs 10-11 muscle being tx?

Answer 14

Lat dorsi

Question 15

Rib 12 muscle being tx?

Answer 15

Quadratus lumborum

Question 16

Unilateral sacral flexion?

Answer 16

Place hypothenar eminence on pt’s ipsilateral ILA, push anterior on ILA during inhalation; resit any posterior mvt during exhalation

Question 17

Unilateral sacral extension?

Answer 17

Place hypothenar eminence on ipsilateal sacral sulcus, push anterior and caudad on superior sulcus during exhalation; resist anterior superior mvt during inhalaiton

Question 18

Forward sacral torsion pt position?

Answer 18

Lateral sims position (face down, axis side down) with flexed legs off table

Question 19

Forward sacral torsion pt activating force?

Answer 19

Lifting legs toward ceiling against equal counterforce

Question 20

Backward sacral torsion pt position?

Answer 20

Lateral recumbent with face up, axis side down, legs off table

Question 21

Backward sacral torsion pt activating force?

Answer 21

Lifting legs toward ceiling against equal counterforce

Question 22

Anterior innominate position?

Answer 22

Flex hip and knee into barrier

Question 23

Posterior innominate position?

Answer 23

Drop hip and leg off table inducing extension

Question 24

Pt position for superior pubic shear?

Answer 24

Drop ipsilateral leg off table and abduct until resistance is felt, stabilize opposite ASIS

Question 25

Pt activating force for superior pubic shear?

Answer 25

Bring ipsilateral knee to opposite ASIS (flexion and adduction)

Question 26

Pt position for inferior pubic shear?

Answer 26

Flex and abduct pt’s ipsilateral hip and knee until resistance is felt, stabilize pt’s opposite ASIS

Question 27

Pt activating force for inferior pubic shear?

Answer 27

Push ipsilateral knee to opposite foot (extension and adduction)

Question 28

Pt position for anterior fibular head?

Answer 28

Pt prone, knee flexed, hand on lateral side of foot cupping ankle, plantarflex and invert foot, externally rotate tibia

Question 29

Pt activating force for anterior fibular head?

Answer 29

Dorsiflex

Question 30

Pt position for posterior fibular head?

Answer 30

Pt prone, knee flexed, hand on lateral side of foot cupping ankle, plantarflex and invert foot, internally rotate tibia

Question 31

Pt activating force for posterior fibular head?

Answer 31

Dorsiflex